Individual
MAGEN LEE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
488 KENNESAW AVE NW STE 200, MARIETTA, GA 30060-9409
(770) 427-3075
(770) 427-3261
Mailing address
488 KENNESAW AVE NW STE 200, MARIETTA, GA 30060-9409
(770) 427-3075
(770) 427-3261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10934
GA
Other
Enumeration date
02/01/2022
Last updated
02/13/2024
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